The Intersection of <scp>HIV</scp> and Migration: Conceptualising Quality of Life Among Asian‐Born Men Who Have Sex With Men Living With <scp>HIV</scp> in Australia
ABSTRACT This qualitative study aimed to understand how migration experiences shape wellbeing and quality of life (QoL) for Asian‐born men who have sex with men (MSM) who are living with HIV in Australia, and to identify relevant support needs. Drawing from intersectionality theory, this paper reports findings from semi‐structured interviews with Asian‐born MSM ( n = 9), as well as key informants working in the HIV sector ( n = 9, total n = 18). Data were analysed using an inductive thematic technique focused on the intersections of structural racism/migration, homophobia/sexuality and HIV/HIV‐related stigma. Participants described a multiplicity of ways in which QoL was diminished from their intersecting experiences, including key themes of (i) ‘living in limbo’ and (ii) ‘fear of rejection and disclosure’. However, participants also described positive experiences, such as (iii) the ability to more openly express their sexuality, and a cultivation of self‐confidence to advocate for themselves and others (‘navigating the politics of belonging’). The findings highlight unique structural and social challenges to QoL that migration and living with HIV can generate. These findings signal a need to redouble efforts within the HIV response to advance QoL for people living with HIV in a manner that is affirming, comprehensive and draws on cultural strengths.
Authors
- Jennifer Power (ORCID: https://orcid.org/0000-0002-6566-3214)
- John Rule (ORCID: https://orcid.org/0000-0001-7518-7744)
- Adam Bourne (ORCID: https://orcid.org/0000-0001-5299-8835)
- Bo Xiao (ORCID: https://orcid.org/0000-0001-9361-4340)
- Nyssa Ferguson
- Dean Murphy (ORCID: https://orcid.org/0000-0003-2752-7091)
- Jack Chen (ORCID: https://orcid.org/0000-0003-4693-5234)
- Satrio Nindyo Istiko (ORCID: https://orcid.org/0000-0002-2337-0800)
- Thomas L. Norman (ORCID: https://orcid.org/0000-0002-4773-4285)
- Emil John Pastor Canĩta
Institutions
- The University of Queensland (AU)
- La Trobe University (AU)
- Bradford Royal Infirmary (GB)
- UNSW Sydney (AU)
- National Association of People with HIV Australia (AU)
- Australian Wool Innovation (Australia) (AU)
- Bradford Teaching Hospitals NHS Foundation Trust (GB)
Publication Details
- Journal
- Australian Journal of Social Issues
- Published
- 2025-04-14
- DOI
- https://doi.org/10.1002/ajs4.70023
- Citations
- 3
- Primary Topic
- HIV/AIDS Research and Interventions
- Type
- article
- Field-Weighted Citation Impact
- 4.19
Funders
- Australian Government
- La Trobe University
- Department of Health and Aged Care, Australian Government